| NPI | 1699058370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA PIATT Owner 617-259-1895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| 103TH0004X Psychologist, Health | |
| 133V00000X Dietitian, Registered | |
| 163WP0808X Registered Nurse, Psych/Mental Health | |
| Enumeration Date | 2011-09-20 |
| Last Update Date | 2011-09-20 |